CMS Price Transparency Data

MMR vaccine (measles, mumps, rubella)

Facility: UPMC Kane

Billing Code: 90707 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90707
Insurance Median: $149
Cash Discount Price: $232
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a MMR vaccine (measles, mumps, rubella) at UPMC Kane is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4372 Route 6, Kane, PA.

Cash / Self-Pay

$232

Average discount available for prompt cash payment at this facility.

Insurance Median

$149

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$11 - $149	N/A
UPMC Health Plan	$11 - $169	N/A
UnitedHealthcare	$12 - $185	N/A
Geisinger	$14	N/A
Highmark Wholecare (Prev Gateway)	$15 - $147	N/A
Amerihealth Caritas	$16 - $154	N/A
PA Health & Wellness	$17	N/A
Blue Cross Blue Shield	$105 - $143	N/A
UPMC Work Partners	$205	N/A
Focus Healthcare	$226 - $367	N/A
Cigna	$270 - $8,690	N/A
Horizon Health Plan	$270	N/A
Multiplan	$290	N/A
Health Coalition Partners	$309	N/A
Intergroup	$309	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $232.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90707.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UPMC Kane is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code 90707.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.